Individual provider · Type 1 NPI

Brenna Tucker

Student in an Organized Health Care Education/Training Program · Norwalk, CA

NPI number 1598643157 Active

Practice location

12440 Firestone Blvd Ste 3001
Norwalk, CA 90650-4300

Call (562) 450-0620 Map

Mailing address

4921 Charlene Cir Apt 3
Huntington Beach, CA 92649-3545

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1598643157

Brenna Tucker's National Provider Identifier is 1598643157, issued on Aug 22, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Norwalk, CA. The record was last updated on Aug 22, 2025.